RESUMEN
BACKGROUND: Chronic venous insufficiency, in its final stage can cause venous ulcers. Venous ulcers have a prevalence of 0.5 % to 0.8 % in the general population, and increases starting at 60 years of age. This condition often causes increased dependency in affected individuals, as well as a perceived reduced quality of life and family overload. Local Treating chronic venous ulcers has 2 components: topically healing the ulcer and controlling the venous insufficiency. There is evidence that compressive therapy favours the healing process of venous ulcers. The studies we have found suggest that the use of multilayer bandage systems is more effective than the use of bandages with a single component, these are mostly using in Spain. Multilayer compression bandages with 2 layers are equally effective in the healing process of chronic venous ulcers as 4-layer bandages and are better tolerated and preferenced by patients. More studies are needed to specifically compare the 2-layer bandages systems in the settings where these patients are usually treated. METHOD/DESIGN: Randomised, controlled, parallel, multicentre clinical trial, with 12 weeks of follow-up and blind evaluation of the response variable. The objective is to assess the efficacy of multilayer compression bandages (2 layers) compared with crepe bandages, based on the incidence of healed venous ulcers in individuals treated in primary care nursing consultations, at 12 weeks of follow-up. The study will include 216 individuals (108 per branch) with venous ulcers treated in primary care nursing consultations. The primary endpoint is complete healing at 12 weeks of follow-up. The secondary endpoints are the degree of healing (Resvech.2), quality of life (CCVUQ-e), adverse reactions related to the healing process. Prognosis and demographic variables are also recorder. Effectiveness analysis using Kaplan-Meier curves, a log-rank test and a Cox regression analysis. The analysis was performed by intention to treat. DISCUSSION: The study results can contribute to improving the care and quality of life of patients with venous ulcers, decreasing healing times and healthcare expenditure and contributing to the consistent treatment of these lesions. TRIAL REGISTRATION: This study has been recorded in the Clinical Trials.gov site with the code NCT02364921. 17 February 2015.
RESUMEN
The aim of the study was to evaluate the physiometabolic responses to stress in hybrid suckling piglets that were weaned and transported at different ages on a paved road under two vehicle conditions: with and without a layer of straw bedding. The piglets were weaned and transported at the following ages: 8, 15 and 22 days. The duration of each trip was 1 h. The piglets in each group were further divided into two sub-groups for two distinct experimental transport conditions: (1) over the road with straw bedding; and (2) over the same road but without straw bedding. A total of three repetitions were performed for each experimental condition. In order to assess their responses to weaning- and transport-induced stress, the study evaluated a thorough physiometabolic blood profile. The 8- and 15-day-old piglets transported without straw bedding showed increases in their pCO2, blood glucose, blood lactate levels and the percentage of hematocrit, but a decrease of pO2 upon arrival (P < 0.05). In contrast, the 22-day-old piglets transported on the same road with straw bedding were able to re-establish their blood concentrations of lactate, pCO2, pO2, Na+, K+, Ca2+ and pH during the trip (P < 0.05).
